| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,761 |
3,598 |
$164K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,095 |
3,831 |
$109K |
| 90677 |
|
337 |
322 |
$80K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,193 |
2,103 |
$59K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,175 |
1,144 |
$41K |
| 90461 |
|
1,716 |
1,660 |
$33K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
729 |
701 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
435 |
418 |
$22K |
| 92587 |
|
1,693 |
1,251 |
$21K |
| 90671 |
|
165 |
160 |
$20K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
573 |
570 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
465 |
462 |
$16K |
| 87428 |
|
103 |
100 |
$8K |
| 99177 |
|
776 |
753 |
$7K |
| 90619 |
|
35 |
35 |
$5K |
| 96127 |
|
1,734 |
1,579 |
$5K |
| 36416 |
|
758 |
701 |
$5K |
| 90651 |
|
204 |
202 |
$4K |
| 90670 |
|
526 |
474 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
67 |
65 |
$3K |
| 92558 |
|
929 |
887 |
$3K |
| 83655 |
|
411 |
399 |
$2K |
| 90480 |
|
48 |
45 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
103 |
102 |
$2K |
| 90686 |
|
1,066 |
986 |
$2K |
| 90710 |
|
156 |
152 |
$1K |
| 96161 |
|
591 |
553 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
160 |
152 |
$945.24 |
| 90723 |
|
531 |
508 |
$831.45 |
| 90633 |
|
445 |
414 |
$805.85 |
| 90680 |
|
527 |
428 |
$740.22 |
| 90658 |
|
379 |
365 |
$678.06 |
| 0071A |
|
13 |
13 |
$520.00 |
| 96380 |
|
32 |
32 |
$346.40 |
| 90647 |
|
986 |
913 |
$342.46 |
| 99174 |
|
579 |
493 |
$256.86 |
| 99401 |
|
388 |
350 |
$204.70 |
| 90715 |
|
28 |
28 |
$104.82 |
| 99173 |
|
2,212 |
1,460 |
$45.00 |
| 90685 |
|
22 |
21 |
$19.11 |
| 3008F |
|
2,875 |
2,612 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 91307 |
|
34 |
34 |
$0.00 |
| 90620 |
|
13 |
13 |
$0.00 |
| 90648 |
|
50 |
34 |
$0.00 |
| 90661 |
|
353 |
348 |
$0.00 |
| 90734 |
|
59 |
59 |
$0.00 |
| 90700 |
|
25 |
24 |
$0.00 |